precall Archives - RadsResident

Posted on June 11, 2019June 12, 2019 by Barry Julius

Can You Pass The 2019 Precall Quiz?

Once again this year, I am presenting 10 cases from our precall quiz. These cases will help to determine if you are ready for taking call at your institution. Each of these is the sort of the case you will likely encounter on call at some point. Sixty-five percent is passing. Partial credit is possible. Make sure to write down the answers on a sheet of paper and cross-reference them with the answers provided on the bottom of the page. See if you will be competent to take overnights or if you need to study a bit more before you are ready!

By the way, if you think you can score better the next time or if you want some more practice, check out the previous years’ precall quizzes. The links to the 2018 and 2017 quizzes are right below. Good luck with the exam!

2018 precall quiz

2017 precall quiz

Case 1:

Case 2:

Case 3:

What is the possible diagnosis?

How would you manage this case at nighttime?

Case 4:

Case 5:

Case 6:

Case 7:

Case 8:

Case 9:

What is the diagnosis?

What else would be of help to increase the specificity of the study?

Case 10:

Answers to Cases:

Right-sided ileocolic intussusception
Right perihilar mass with pneumothorax
Possible diagnosis: fetal demise with conflicting images in M-mode, How to manage: scan yourself in real time with M-mode or cine
portal venous gas, bowel pneumatosis, SMA thrombosis- call surgeons
Proximal transverse colonic apple core lesion, suspicious for primary colonic neoplasm
Normal CT brain
Hill-Sachs deformity with a loose body (greater tuberosity overlying the glenohumeral joint)
Mets with multiple levels of cord compression. Abnormal signal within the cord, suggesting ischemia.
Findings suspicious for PE (High probability study- old verbiage), What would increase specificity? A prior V/Q SPECT
Left distal ureteral stone with left-sided hydronephrosis and hydroureter and adjacent inflammatory change, porcelain gallbladder (increased risk for carcinoma)

Posted on June 24, 2018June 11, 2019 by Barry Julius

Can You Pass The 2018 Saint Barnabas Precall Quiz?

Due to the popularity of last year’s precall quiz post, I am back at it again. Today, I am posting 10 cases from the real 2018 quiz that we used to ensure our residents are ready prior to beginning call. Of course, we used our PACS system to see if they could not only understand the disease entities but also make the findings as well. Unfortunately, you will not have the same option. However, these cases will help to benchmark where you may stand.

When you go through the test, come up with the findings, diagnosis, and if asked/relevant, management. In order to see how you did, answers are at the bottom of this page. (Don’t peek until you are finished!) One more thing… in order to pass the test without conditioning, you need to get at least 70 percent right. Enjoy!

Precall Quiz

Case 1

Case 2

Case 3

How would you manage this case?

Case 4

Case 5

What questions do you need to ask?

How do you manage this case?

Case 6

Case 7

part A

1st film- 2 years ago

2nd film- today

What is the differential diagnosis?

What do you want to do next?

part B

Case 8

Case 9

Case 10

Answers:

Case 1:

Right thalamic/basal ganglia intraparenchymal bleed with intraventricular extension.

Accompanying early transtentorial herniation. (needs to be mentioned for full credit!)

Case 2:

Right-sided pyelonephritis/early abscess formation. Renal mass/neoplasm can be within differential diagnosis.

Case 3:

Aortic dissection extending from the inferior thoracic cavity to iliac arteries.

Accompanying perivascular fluid and effusion- possibly blood products, consider ruptured dissection

For full credit-need to mention that you would call the vascular surgeons

Case 4:

Ultrasound appendicitis with appendicoliths

Case 5:

You need to ask history. (?B-HCG positive)

Ruptured ectopic pregnancy.

Case 6:

Homolateral Lisfranc fracture dislocation

Case 7:

Part A

New prominent bilateral hila- Interval development of adenopathy or pulmonary arterial hypertension

CT of the chest recommended for further characterization.

Part B

Bilateral chronic pulmonary emboli with pulmonary hypertension

Case 8:

Acute biliary leak with extraluminal radiopharmaceutical.

Focus within the hepatic hila- most likely biloma/origin of the biliary leak

Case 9:

Distal left ureteral stone with left renal hydronephrosis and hydroureter. Accompanying inflammatory change at the left kidney and ureter.

Case 10:

No acute disease. Possible recently ruptured left ovarian cyst.

Posted on June 21, 2017June 12, 2019 by Barry Julius — 2 Comments

Can You Pass The Real Saint Barnabas Diagnostic Residency Precall Quiz?

Today you are in for a treat. Our first-year residents at Saint Barnabas have all passed my homemade Precall Quiz with flying colors. So I was thinking why not publish the same 10 cases with images/videos below so you can test yourselves? (Don’t forget to look at the links to the videos for questions 2,3,5,6,8, and 10 that are either after the images or are on their own!) I also gave each resident up to 5 minutes to come up with a final diagnosis and they had to get at least 80% correct to pass. Can you do the same? Check out the answers at the bottom of this page to see h0w you did. If you pass, you are ready to take call!!! Let’s begin!!!

One…